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Evaluating the effectiveness of a multi-component intervention on early childhood development in paediatric HIV care

R Chingono1, H Mebrahtu2, Z Mupambireyi1,3

  • 1Centre for Sexual Health HIV/AIDS Research (CeSHHAR), Harare, Zimbabwe.

BMC Pediatrics
|July 11, 2018
PubMed

Insights

This study tested a combined early childhood stimulation and savings program for HIV-exposed infants in Zimbabwe. The intervention aimed to improve child development and retention in HIV care.

Area of Science:

  • Global Health
  • Developmental Pediatrics
  • Public Health Interventions

Background:

  • Family HIV infection can impede optimal child development.
  • Early childhood stimulation (ECS) and financial programs may improve outcomes for HIV-exposed infants.

Purpose of the Study:

  • To evaluate the impact of a multi-component intervention on cognitive development and retention in care for HIV-exposed infants.
  • To assess the effectiveness of an early childhood stimulation program combined with a savings and loans scheme for parents.

Main Methods:

  • Cluster-randomized controlled trial in 30 clinics in Zimbabwe.
  • Intervention group received the Child Health Intervention for Development Outcomes (CHIDO) program (ECS, savings/loans, home visits).
  • Control group received standard care; primary outcomes were cognitive development and retention in HIV care at 12 months.

Main Results:

  • The study results are anticipated to offer crucial insights into interventions for developmental delays in HIV-exposed infants.
  • The findings will be significant for resource-limited settings.

Conclusions:

  • Multi-component interventions show promise in mitigating developmental delays in HIV-exposed infants.
  • The CHIDO intervention could be a valuable model for improving child development outcomes in vulnerable populations.
Abstract

Keywords:
Case managementEarly childhood stimulationHIV exposed infantsInternal savings and lending schemeZimbabwe

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